Individual
ANDREW TYLER ASENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 855-7011
Mailing address
1505 N HOYNE AVE APT 2E, CHICAGO, IL 60622-1806
(937) 760-1305
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2025
Last updated
05/22/2025
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